This is a case of a 75-year-old man who presented with a 7-month history of a reducible rectal mass. The patient came to the emergency department with a prolapsed necrotic bowel involving a strangulated segment with the rectal mass. He underwent an abdominotransanal resection through a combined abdominal and perineal approach. His postoperative course was unremarkable. Histopathological and immunohistochemical studies showed a rectal carcinosarcoma. Because of a state-mandated lockdown due to the COVID-19 pandemic, the patient failed to follow-up. He was later seen to have metastatic progression. Owing to the poor functional status of the patient, the shared decision of the multidisciplinary team, the patient and his family was to manage him with palliative intent.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8375736 | PMC |
| http://dx.doi.org/10.1136/bcr-2021-244501 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Abdominotransanal resection of a strangulated rectal carcinosarcoma.
BMJ Case Rep
August 2021
Department of Laboratories, University of the Philippines - Philippine General Hospital, Manila, Philippines.
This is a case of a 75-year-old man who presented with a 7-month history of a reducible rectal mass. The patient came to the emergency department with a prolapsed necrotic bowel involving a strangulated segment with the rectal mass. He underwent an abdominotransanal resection through a combined abdominal and perineal approach.
View Article and Find Full Text PDFShort versus conventional preoperative radiotherapy of rectal cancer: indications.
J BUON
September 2007
Department of Radiotherapy, National Hospital of Oncology, Sofia, Bulgaria.
Purpose: Preoperative radiotherapy (RT) at high-dose short-course or at conventional fractions for rectal cancer has proven effect in increasing the tumor control. The aim of this study was to test the impact of 2 different preoperative RT schemes on local recurrence, distant metastasis and survival rates and to defi ne the indications for each of them.
Patients And Methods: The study included 84 patients with biopsy-proven rectal adenocarcinoma of the middle and lower third, clinically staged T2-T4, N0-2, M0.
Early results of intersphincteric resection for patients with very low rectal cancer: an active approach to avoid a permanent colostomy.
Dis Colon Rectum
April 2004
Colorectal Surgery Division, Department of Surgical Oncology, National Cancer Center, Hospital East, Kashiwa, Japan.
Purpose: Abdominoperineal resection has been the standard surgery for very low rectal cancer located within 5 cm of the anal verge. However, permanent colostomy exerts serious limitations on quality of life. The present study aimed to investigate curability and functional results of intersphincteric resection and additional partial external sphincteric resection for carcinoma of the anorectal junction.
View Article and Find Full Text PDFFor a patient with a tumour in the anal canal or with the inferior margin 5 cm or less from the anal verge an abdominoperineal rectal excision with permanent sigmoid colostomy is the only available treatment. The Turnbull-Cutait pull-through technique involved full mobilization of the rectum, complete eversion of the anorectal stump and pull-through of the colon, the excess of which was resected in the second stage of the operation, followed by suture of the colonic and rectal mucosa. Abdomino sacral resection has been practised by a few surgeons only.
View Article and Find Full Text PDF[Limitations to the preservation of continence in rectal carcinoma].
Schweiz Med Wochenschr
May 1990
Chirurgische Klinik, Spital Neumünster, Zollikerberg-Zürich.
Several reports have documented favorable results for abdominal rectal resection with coloanal anastomosis for adenocarcinoma of the rectum, though selection and the low number of patients make it difficult to compare the new restorative procedures with abdominoperineal excision. In a personal series of 35 patients treated by abdomino-transsphincteric and abdominotransanal resection, operative mortality was 2.9% and the incidence of clinically relevant pelvic sepsis was 19%.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!